Thomas Myron Fancher III

NPI #1578801908 in Buford, Georgia

Provider Information

NPI Number: 1578801908
Entity Type: Individual
Name: Thomas Myron Fancher III
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jan 18, 2013
Last Updated: Jan 18, 2013

Practice Location

Address: 4840 GOLDEN PKWY
City: Buford
State: Georgia
ZIP Code: 30518-5843
Phone: (770) 614-7711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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